Anxiety and Help Seeking Behaviors

焦虑和寻求帮助的行为

• 批准号: 7394672
• 负责人: Erica D Sood
• 金额: $ 2.96万
• 依托单位: TEMPLE UNIV OF THE COMMONWEALTH
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-28 至 2008-09-27
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7394672
• 关键词: 8 year old; Accounting; Acculturation; Address; Affect; American; American Indians; Anxiety; Anxiety Disorders; Asian Indian; Asians; Behavior Therapy; Belief; Caucasians; Caucasoid Race; Child; Child Behavior; Client; Compatible; Condition; DSM-IV; Depth; Disease; Distress; Ethnic Origin; European; Exhibits; Gender; Health Insurance; Health Professional; Impairment; Insurance Coverage; Intervention; Judgment; Knowledge; Language; Mainstreaming; Measures; Medical; Mental Health; Mental Health Services; Minority Groups; Mothers; Parents; Participant; Pattern; Perception; Play; Prevalence; Puerto Rican; Rate; Reading; Regression Analysis; Relative (related person); Religion and Spirituality; Reporting; Research; Role; Score; Separation Anxiety Disorder; Services; Socioeconomic Factors; Socioeconomic Status; Source; Symptoms; United States; Youth; ethnic minority population; health care service utilization; help-seeking behavior; improved; psychologic; trait

DESCRIPTION (provided by applicant): Research suggests that ethnic minority youth utilize mental health services at a substantially lower rate than Caucasian children, despite similar rates of symptomatology. Although structural factors such as health insurance status, language barriers, and ethnic match between therapist and client appear to contribute to differential utilization patterns, they do not fully account for these differences. The proposed study will examine the role of cultural factors in conjunction with ethnicity, socioeconomic status, child gender, and maternal trait anxiety in predicting parental judgments about child anxiety symptomatology and help seeking. Participants will be 114 mothers of Asian-Indian, Puerto Rican, or European-American descent (38 from each group). Participants will provide demographic information, and will complete measures of acculturation, independent and interdependent self-construal, strength of religious faith and trait anxiety. Participants will also read two vignettes, one describing an 8-year-old child exhibiting DSM-IV symptoms of separation anxiety disorder (SAD) with somatic symptoms, and one describing an 8-year-old child exhibiting DSM-IV symptoms of SAD without somatic symptoms. The gender of the child described in the vignettes will match the gender of the participant's child. After each vignette, mothers will answer several questions regarding the likely level of concern and impairment associated with the child's behavior, the likelihood of improvement without intervention, the likely cause of the child's behavior, and preferred modes of help seeking assuming they were this child's parent. Multiple regression analyses will examine the relative contributions of each variable in predicting parental judgments of SAD symptomatology (with and without somatic symptoms) and help-seeking. Parental judgments will be compared between the two conditions (somatic versus non-somatic), and predictors of observed differences between the conditions will be explored. This study will contribute to our knowledge regarding the role of cultural factors in differential mental health service utilization patterns across youth in the United States. With an in-depth understanding of cultural factors that contribute to differential utilization patterns, steps can be made to provide effective, culturally-compatible services to children in need.

描述（由申请人提供）：研究表明，尽管症状发生率相似，但少数族裔青少年利用心理健康服务的比率远低于白人儿童。尽管健康保险状况、语言障碍以及治疗师和客户之间的种族匹配等结构性因素似乎会导致使用模式的差异，但它们并没有完全解释这些差异。拟议的研究将探讨文化因素与种族、社会经济地位、儿童性别和母亲特质焦虑的结合在预测父母对儿童焦虑症状和寻求帮助的判断中的作用。参与者将是 114 名亚裔印度裔、波多黎各裔或欧裔美国人后裔的母亲（每组 38 名）。参与者将提供人口统计信息，并完成文化适应、独立和相互依存的自我认知、宗教信仰强度和特质焦虑的测量。参与者还将阅读两个小插曲，一个描述一名 8 岁儿童，表现出分离焦虑症 (SAD) 的 DSM-IV 症状，伴有躯体症状，另一则描述一名 8 岁儿童，表现出 DSM-IV 型 SAD 症状，但没有躯体症状。插图中描述的孩子的性别将与参与者孩子的性别相匹配。在每个小插曲之后，母亲将回答几个问题，涉及与孩子的行为相关的可能的关注程度和损害程度、无需干预而改善的可能性、孩子行为的可能原因以及假设她们是孩子的父母时寻求帮助的首选方式。多元回归分析将检查每个变量在预测父母对 SAD 症状（有或没有躯体症状）和寻求帮助的判断方面的相对贡献。将比较两种情况（躯体与非躯体）之间父母的判断，并探讨观察到的情况之间差异的预测因素。这项研究将有助于我们了解文化因素在美国青少年不同的心理健康服务利用模式中的作用。通过深入了解导致差异化利用模式的文化因素，可以采取措施为有需要的儿童提供有效的、文化上兼容的服务。